MEDICARE: ELISE-MARIE FRANKLIN MA MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1356621940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISE-MARIE FRANKLIN MA MFT

Provider Business Mailing Address
First Line	:	8240 BEVERLY BLVD STE 8
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4529
Country	:	US
Telephone Number	:	310-853-2569
Fax Number	:

Provider Business Practice Location Address
First Line	:	8240 BEVERLY BLVD STE 8
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4529
Country	:	US
Telephone Number	:	310-853-2569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2011
Last Update Date	:	08/30/2024

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